Charged
$276.54
$276.54 paid
The claim
- Patient
- patient Tawanna Nedra Kuhlman
- Serviced
- 2023-09-17illness from the same day
- Status
- Closedlast billed 2023-09-17 · type 2
- Diagnoses
- diagnosis concept Medication review duecode 314529007diagnosis concept Gingivitis · 66383009
- Billed for
- medication concept albuterol 0.83 MG/ML Inhalation Solutioncode 630208
Settlement
- Coverage
- payer UnitedHealthcare no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00508659-1210-a7fa-8c63-c2001a71c875